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US

  • Field complex inbound inquiries, emails, and chat messages with professionalism and empathy.
  • Efficiently and creatively resolve customer complaints, escalating complex issues to the appropriate channels when necessary.
  • Maintain deep job and service knowledge to confidently and accurately educate and serve members according to VytlOne standards.

Customer Service CRM AI Communication Skills Problem-solving

20 jobs similar to Member Advocate - PBM - Remote

Jobs ranked by similarity.

  • Deliver outstanding customer support through clear and effective communication.
  • Provide first-level assistance via phone and chat for patient/healthcare provider inquiries.
  • Guide patients/healthcare providers through basic issue resolution procedures.

Helpware is a technology-driven company delivering Customer Experience & Operational Support. We leverage empowered teams, innovative solutions, and technologies with offices in the USA, Ukraine, Mexico, Germany, Albania, Poland, Puerto Rico, and the Philippines.

US

  • Answer incoming calls and assist customers, pharmacies, and doctor offices.
  • Research information in databases to resolve customer service issues
  • Maintain composure in escalated situations

Qualfon delivers engaging interactions and positive experiences. With a mission to help as many people as possible pursue their total vocation, they strive to be the partner of choice for their clients, creating ever-growing job opportunities.

US

  • Provide exceptional member service through prompt and knowledgeable responses.
  • Maintain ownership of member issues from receipt to resolution.
  • Assist members with renewal questions and encourage continued care.

Parsley Health is a digital health company with a mission to transform the health of everyone, everywhere with the world's best possible medicine. They are the nation's largest health care company helping people suffering from chronic conditions find relief with root cause resolution medicine.

  • Helping transfer calls between patients/pharmacies/doctors.
  • Provide first-level support to customers via email and/or chat in a timely and professional manner.
  • Address customer inquiries, troubleshoot problems, and guide users through basic issue resolution steps.

Helpware is a technology-driven company that provides Customer Experience & Operational Support for modern companies. They have offices in the USA, Ukraine, Mexico, Germany, Albania, Poland, Puerto Rico, and the Philippines.

US 4w PTO

  • Manage calls professionally for a diverse range of businesses and professionals.
  • Accurately take and promptly deliver messages with a touch of flair.
  • Book appointments using user-friendly software like Calendly, making scheduling a breeze.

Veta Virtual is an innovative start-up revolutionizing the customer experience industry. They provide top-tier, customized phone call management solutions to businesses of all sizes, ensuring seamless and efficient communication and foster a culture of continuous learning and growth.

Global

  • Serve as a facilitator between the patient and the company, ensuring a seamless experience.
  • Answering questions about the company, offering accurate information about our products and services.
  • Ensuring patient satisfaction and maintaining professional patient support.

Willow is a telehealth company focused on personalized, responsible cosmetic weight loss care. They combine medical expertise with a supportive, patient-centered approach to help people feel more confident.

Philippines

  • Handle customer interactions across chat and email with professionalism and empathy.
  • Log, track and resolve customer cases efficiently using Salesforce and other internal tools.
  • Provide clear and concise updates to internal teams, ensuring seamless customer experiences.

Newsela is an education company. They bring engaging, accessible content to classrooms, helping students develop literacy skills and a lifelong love of learning.

  • Provide service for inbound pharmacy phone calls and/or placing outbound patient refill calls.
  • Assist the patient through the entire refill process.
  • Respond to patient requests and inquiries regarding prescription drug plan coverage and fulfillment through the pharmacy.

Shields Health Solutions partners with hospital leaders to build world-class specialty pharmacy programs. They offer solutions for hospitals to elevate care, improve financial outcomes, and streamline operations.

US

  • Provide customer service in a phone-based environment, processing prescription information accurately.
  • Perform claim adjudication and auditing duties, like prior authorizations and eligibility checks.
  • Maintain patient records with attention to detail and confidentiality, ensuring regulatory compliance.

AnewHealth is a pharmacy care management company specializing in caring for people with complex, chronic needs. With over 1,400 team members, they care for more than 100,000 people across all 50 states, enabling better outcomes for patients and healthcare organizations.

US 3w PTO

  • Answer customer inquiries via email, chat, and phone, ensuring they feel supported and heard throughout their journey with us.
  • Become a product expert, guiding customers with confidence to help them maximize the value of Olly Olly’s tools and services.
  • Investigate and resolve product issues swiftly, collaborating with other teams when necessary and keeping customers informed with timely updates.

Olly Olly blends technology and real-world expertise to empower businesses across the U.S. They aim to be the ultimate all-in-one platform for small business growth, allowing owners to manage every part of their business efficiently and effortlessly.

$80,000–$110,000/yr
US

  • Build and maintain trusting relationships with clients through service.
  • Accountable for accurate and timely transition of new clients into the platform.
  • Provide ongoing client support to troubleshooting inquiries.

Judi Health is an enterprise health technology company providing solutions for employers and health plans. They have a comprehensive suite of solutions and are rebuilding trust in healthcare in the U.S.

Global Unlimited PTO 12w maternity

  • Provide our customers immediate support via live-chat/messaging, email, ticketing, social media, and phones.
  • Leverage your deep understanding of our Internal Support Portal to address our users’ concerns quickly and accurately.
  • Make recommendations for members with your deep knowledge about Forma’s product.

Forma's flexible benefits software helps companies offer competitive benefits packages while reducing costs and inefficiencies. They give employees more choice and flexibility in how they spend their benefit allowances and has helped hundreds of the world’s most admired companies.

US

  • Answer inbound sales and service calls, offering thoughtful advice to customers.
  • Engage proactively with your manager and team, ensuring success in a virtual environment.
  • Deliver exceptional customer service in a fast-paced environment, solving problems with ease.

1-800 Contacts believes that ordering contact lenses should be simple and affordable. They empower their people to solve problems, resulting in high customer satisfaction and employee engagement. They are owned by KKR, one of the world’s largest private equity investment companies.

$42,830–$64,250/hr
US

  • Responds to phone, email, and chat customer inquiries and moves between different functions as needed.
  • Triages and assesses inquiry root cause to determine effective resolution and utilizes multiple systems to provide timely and accurate resolution.
  • Achieves strong customer satisfaction by providing a positive Customer Experience and works collaboratively with back-office areas to correct customer issues.

Guardian helps customers realize their dreams through insurance and financial products, focusing on their overall well-being. As one of the largest mutual insurance companies, Guardian puts customers first and has 29 million customers.

$23–$23/hr
US 2000w PTO

  • Engaging, educating, and qualifying new and existing members on our Surgery Care program offering.
  • Providing exceptional customer service through inbound/outbound calls in our fast-paced, contact center environment.
  • Partnering with internal clinical professionals in providing member guidance.

Transcarent is the One Place for Health and Care delivering medical, pharmacy, and point solutions together with the WayFinding experience, the first and only generative AI-powered health and care platform for health consumers. More than 1,700 employers and health plans rely on us to provide information, guidance, and care, empowering health consumers with more choice, an experience they love, access to higher-quality care, and lower costs for 21 million Members.

US

  • Provide accurate information on health plan benefits, eligibility, and claims.
  • Handle inbound/outbound calls and respond to email inquiries.
  • Deliver an exceptional customer service experience to members and providers.

Evry Health's mission is to bring humanity to health insurance. Their high-technology health plans expand benefits, increase access and transparency, and feature a personalized, human approach. Evry Health is the major medical division of Globe Life (NYSE:GL).

$21–$21/hr
US

  • Outbound calls, calling members to inform them of their Specialist Management Solutions benefits and act as a care guide on behalf of the customer helping them receive treatment from a network of high-quality surgeons
  • Receive inbound calls from members to educate them on their Specialist Management Solutions benefits and provide guidance with appointment scheduling
  • Assist in the coordination of care across a variety of settings, while maintaining strict confidentiality and the highest level of professionalism

Lantern is a specialty care platform connecting people with the best care when they need it most. They curate a Network of Excellence comprised of the nation’s top specialists for surgery, cancer care, infusions and more, delivering excellent care with significant cost savings to employers and their workforces.

US Unlimited PTO

  • Answer customer calls and reply to email inquiries in a fast-paced environment.
  • Act as a point of escalation for complex customer and process issues.
  • Think quickly on your feet to customize creative solutions.

Nutrafol is a growing company that creates clinically tested products for hair growth and provide support for people at every step of their hair journey. Their multi-factorial approach targets key root causes of hair thinning using a patented blend of standardized vitamins, minerals and natural ingredients and is recommended by over 7,500 physicians and hair professionals.

$40,000–$41,000/yr
US

  • Create a welcoming experience by authentically engaging every caller, every time.
  • Thoroughly and accurately answer questions about customers’ healthcare accounts.
  • Thoughtfully listen to callers’ needs and provide appropriate solutions.

Point C is a National third-party administrator (TPA) with local market presence that delivers customized self-funded benefit programs. They research the most effective cost containment strategies and are driving down the cost of plans with innovative solutions.

Global

  • Deliver fast, accurate, and empathetic support to workplace customers.
  • Navigate tools to investigate cases and maintain accurate documentation.
  • Apply sound judgment to troubleshoot issues and improve customer experiences.

Clipboard Health's app-based marketplace connects workplaces and professionals, allowing professionals to book on-demand shifts and workplaces to access on-demand talent. It is a fast-growing Series C marketplace and a YC Top Company with a global, remote team of 700+ people.